ANDREW LEE BLALOCK IDC
NPI 1447557657
Military Health Care Provider - Independent Duty Corpsman in Niantic, CT

Q: What is Andrew Blalock's NPI number?

The NPI number for Andrew Blalock is 1447557657. It was assigned to this individual provider in the NPPES registry on February 24, 2011.

Q: What is Andrew Blalock's specialty?

The primary specialty registered for this NPI is Military Health Care Provider, specializing in Independent Duty Corpsman, with taxonomy code 1710I1002X.

Q: When was this NPI record last updated?

The NPPES record for Andrew Blalock was last updated on February 24, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since February 24, 2011

97 W MAIN ST, APT 47, NIANTIC, CT 06357(305) 492-5489 Get Directions Write a Review

NPPES record last updated: February 24, 2011. Verified against the NPPES registry weekly; last sync: August 16, 2026.

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About Andrew Lee Blalock Idc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

ANDREW LEE BLALOCK IDC (NPI 1447557657) is an individual independent duty corpsman provider in Niantic, Connecticut and active in the NPI registry since February 2011.

NPPES Registry Identity

NPI1447557657

Entity TypeIndividualMale

Primary Taxonomy1710I1002X

Provider Legal NameANDREW LEE BLALOCKCredential: IDC

Location Address97 W MAIN ST, APT 47Niantic, CT 06357-1749

Mailing Address97 West Main St, Apt 47Niantic, CT 06357-1731 · (305) 492-5489

Phone(305) 492-5489

Sole ProprietorNo

Enumeration DateFebruary 24, 2011

✔ NPI 1447557657 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyMilitary Health Care Provider · Independent Duty CorpsmanOther Service Providers

Taxonomy Code1710I1002X

Definition

A Navy Independent Duty Corpsman (IDC) is an active duty Sailor who has successfully completed one of the Navy's specific IDC training programs. IDCs are formally trained and educated to perform primary medical care and minor surgical services in a variety of health care and non-health care settings worldwide under indirect physician supervision. IDCs provide care to Department of Defense operational forces and other supporting forces such as contractors and foreign nationals.

97 W MAIN ST, Niantic, CT 06357

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Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Andrew Blalock's NPI number?

The NPI number for Andrew Blalock is 1447557657. It was assigned to this individual provider in the NPPES registry on February 24, 2011.

Where is Andrew Blalock located?

Andrew Blalock practices at 97 W Main St Apt 47, Niantic, CT 06357. The listed phone number is (305) 492-5489.

What is Andrew Blalock's specialty?

The primary specialty registered for this NPI is Military Health Care Provider, specializing in Independent Duty Corpsman, with taxonomy code 1710I1002X.

When was this NPI record last updated?

The NPPES record for Andrew Blalock was last updated on February 24, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.